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NPI Code Detail

MEDICARE: ASMAA AL-ANI

MEDICARE: ASMAA AL-ANI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist102832CA

General Provider Information

NPI Number : 1558848861
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASMAA AL-ANI
Provider Business Mailing Address
First Line : 5400 NEWCASTLE AVE APT 36
Second Line :
City : ENCINO
State : CA
Zip : 91316-2085
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4165 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-4418
Country : US
Telephone Number : 323-331-9242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2018
Last Update Date : 07/19/2018

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Directions to “ ASMAA AL-ANI ” Practice Location

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